頁籤選單縮合
題名 | 小眼症患者施行白內障手術之經驗=Cataract Surgery in Patients with Nanophthalmos: Results and Complications |
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作者 | 陳彥圭; 賴盈州; 陳勇仁; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 49:1 2010.03[民99.03] |
頁次 | 頁113-117 |
分類號 | 416.744 |
關鍵詞 | 小眼症; 白內障; Cataract surgery; Choroidal effusion; Nanophthalmos; Sclerotomy; |
語文 | 中文(Chinese) |
中文摘要 | 目的:報告小眼症患者施行白內障手術中的表現,手術方式與預後。 方法:二例三隻眼睛之小眼症患者接受超音波晶體乳化術摘除白內障。經病例回顧來觀察探討其臨床表現,手術方法,併發症及預後。 結果:白內障均順利摘除,手術中並無併發症發生。經平均兩年的觀察術後視力皆維持穩定,並無自發性脈絡膜滲出(Choroidal effusion)的發生。術後眼壓得以維持穩定,無須另以輔助藥物控制。 結論:小眼症為一罕見的疾病。由於其結構上的特異,包括鞏膜增厚及經鞏膜前房液排出阻力增加,導致手術中及手術後自發性脈絡膜滲出(Choroidal effusion)的發生率增高。經由本研究結果顯示小眼症病患在施行超音波晶體乳化術摘除白內障時,特殊的手術考量可以確保手術成功與避免併發症的發生。 |
英文摘要 | Purpose: To evaluate the outcomes of phacoemulsification and intraocular lens (IOL) implantation combined with prophylactic anterior sclerotomy in nanophthalrnic eyes. Methods: Three nanophthalrnic eyes of two patients had uneventful phacoemulsification and posterior chamber IOL implantation. The records of consecutive patients were reviewed for ocular diagnoses, keratometry, axial length, retinal-choroidal-scleral thickness, ocular surgeries, visual acuity, and complications. All operations were performed by the same surgeon. Results: Spontaneous choroidal effusion did not occur intraoperatively and postoperatively during an average follow-up of two years. The final visual outcome remained stable. Glaucoma control was improved without treatment of topical medicine. Conclusions: Nanophthalmos is a rare disease and shows tendency toward spontaneous or postoperative choroidal effusion, caused by abnormalities of the sclera and increased resistance to transscleral f1uid outflow. Simultaneous anterior sclerotomy in cataract surgery with nanophthalmos is effective in avoiding the high risk of vision-threatening posterior segment complicatlon. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。